Organization
CHIAVACCI ORTHOPEDICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EUGENE J CHIAVACCI MD (OWNER)
(570) 457-3300
Entity
Organization
Contact information
Practice address
730 S MAIN ST, OLD FORGE, PA 18518-1459
(570) 457-3300
(570) 457-4878
Mailing address
730 S MAIN ST, OLD FORGE, PA 18518-1459
(570) 457-3300
(570) 457-4878
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD027185E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009209150004
—
PA
Enumeration date
02/09/2007
Last updated
08/22/2020
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